Early July, in Sankt Petersburg/Russia, I was bitten by a mosquito. Not paying attention, I must have scratched the bite, and when I looked next – about a week later – my right ankle showed the telltale sign of a honey-colored crust: Impetigo!

Impetigo is an infectious rash, usually caused by Staphylococcus or Streptococcus bacteria. Since we were traveling, nobody did a culture, we never will know who the culprit is. For first aid, still in Russia, I dabbed tea tree oil on it – too late, as it turned out; I should have treated the mosquito bite thus!

At home, two weeks after the bite, for healing I added some herbs, taken by mouth: Olive leaf extract, oregano, Andrographis paniculata and neem. The rash got paler, but by then it had spread up my right calf, to both of my thighs, and to my forehead and right cheek. Tea tree oil immediately removed the itchy spots from my face, but the rest stalled – not getting better or worse. – It is interesting to note that impetigo usually spares the trunk; it prefers head and limbs. I conclude those bacteria don’t like it hot …

With all infections, it is a good idea to clean up one's diet - no sugars, dairy, and as few white starches as possible. Mine was already pretty good; not much I could do here.

We traveled to Maine. Bathing in the salt water every day was soothing, and accelerated the healing (careful if you try this at home: Some warmer oceans easily might carry offending bacteria!). But then it slowed down again. In my desperation, I applied mud from the edge of the ocean once a day – because in Europe muds and clays are thought of as healing agents. It sure didn’t look pretty – my legs were blackish, peeling and scattering dried mud wherever I walked and sat and lay – especially in my bed. But mud greatly helped: Every day the rash looked a bit paler, and felt less itchy.

In case you think I am a crazy doctor going off the cliff: All along I was in contact with my primary care provider, who happens to be specialized in Infectious Disease. Because I have many, many allergies to antibiotics, and because of the growing problem of antibiotic resistance, he thought it was worth to try alternatives. So, mud it was. I even took a jar full of mud home when we left Maine after the summer. But the jar soon was empty – and the rash blossomed again. I added propolis, black seed oil (Nigella) and to berberine (the yellow dye makes goldenseal and goldenthread antibacterial; but goldenseal is an endangered species, so I don’t use it) the mix of herbal capsules that I was taking by mouth; not all at once, but every three hours one of the herbs, while awake (dosage is found on the bottle).

An Iranian friend of mine wrote me that her grandmother would use a salve of turmeric and sheep fat (lanolin) on skin infections. So I made a salve with turmeric, adding cinnamon for fragrance, and Manuka honey for good measure (Manuka honey got excellent results in trials in killing bacteria). However, I used coconut oil instead of lanolin, because I had coconut oil in the house, it smells better than sheep fat, and it is known for having antibacterial properties itself.

Things healed nicely – until I noticed new lesions at the nape of my neck, where I must have scratched there – despite fussy cleanliness throughout. Presently, I am steeping myrrh in alcohol for a tincture; another friend recently had brought me myrrh and frankincense from Oman. Tonight, I will use this tincture for the first time. Mainly I am looking for replacing the turmeric with something less colorful – I am doubtful if I will ever be able to wash the yellow color out of my bed sheets … - And, yes, the Three Magi valued myrrh and frankincense as highly as gold! Why? Because of their anti-germ abilities, which was needed in ancient times when you lived with cow and donkey in a stable. Not to mention that frankincense binds to the cannabinoid receptors in the brain.

Against the intense itch, I am also using the jelly inside of a huge old aloe vera plant I grow on the windowsill. It soothes the itch, and seems to help to reduce the angry red.

Why going to this length (approaching three month) to treat an itchy – but luckily not painful – rash? Part is, of course, my many allergies. Another part is that the rash is not life-threatening – I have some room for experimenting. Also, I am not a kid in a day care situation who might spread the infection to other kids. And mainly I want to find out if curing this rash by herbs alone is even doable; finding proof of principle, as scientists say.

It’s not nice having an ugly rash. Adding ridicule to injury: In Germany, I was told, the slang word for this very unpleasant and persistent impetigo is “shlep-sh***!” - One could not have come up with a more suitable term!

Last night in the sauna, our European friends asked again for an explanation of the Fahrenheit scale. It boggles their mind that we here in the United States still using the clumsy Fahrenheit thermometer readings, instead the easy Celsius version.

Celsius determined the freezing point of water as zero degree, and the boiling point of water as 100 degree. Fahrenheit, on the other hand, placed his zero point at the lowest temperature he personally ever measured (in an artificial cold mixture of ice and salts). He then determined the moment when ice forms on non-moving water as 32 degree. And a third fixed point was when he put the thermometer under his arm – which he called 96 degree. Things could not be more messy and arbitrary than that, methinks.

Not to take away from Mister Fahrenheit’s merits: He invented the thermometer. But his temperature scale outlived its usefulness. It is only used now in the U.S. and in Belize (does that tell us something about the political situation of Belize??). The Fahrenheit scale should go where also inches and feet and the American pound should go: On the garbage heap of history. It is time that we introduce the metric system. Mainly so that our children in school don’t spend an inordinate amount of time learning to work with one sixteenth of an inch, and something like that. To handle inches and feet make you fit for construction work, but not much more. The metric system is easier, makes more sense – and can take students to science and computer language and into the difficult future … if they didn’t have to learn inches and feet and Fahrenheit and miles and uneven pounds. As a former math teacher, mathematical prowess is important to me – and I don’t like at all that we are taking only place # 27 globally in math skills.

Daniel Gabriel Fahrenheit (1686 to 1736) died already at age fifty. I wonder if he died of mercury intoxication, because he also invented the mercury thermometer. He actually started his career as a naturalist, after his parents died of a mushroom poisoning when he was in his teens. He was born in Gdansk, not far away from where I was born, and is a contemporary of Johann Sebastian Bach. – And, no, Anders Celsius from Sweden did not die of mercury intoxication; he died so young of tuberculosis.

Meanwhile, and interrupting my writing, I took a bath in the ocean. The water is rejuvenating, stimulating and cooling. In former years I had to leave after five minutes because I was cold to the bones. For the last few years, we leave because it gets boring. Anybody here still refuting global warming? Here, in down-east coastal Maine, we feel the consequences. Also by increased rains: We had water in the basement - the cement is broken, water comes in from all sides. Which had a good side-effect: We finally had to clean up the basement; it was overdue for about twenty years ...

Of course, it is still gorgeous summertime in Maine. We sleep and eat, we read and discuss, we do sauna (and a dip in the ocean afterward), and go for hikes. The other day, we had a lobster bake, directly at the ocean with churning white water, on wooden benches. Life could not be better. That is what the Natives must have thought hundred of years ago: This was their summering area, and their spirit of reverence for this place is still in the air. They would come from afar and meet here, to indulge in clams and mussels, lobsters and scallops. Then for two hundred years this paradisal spot of the Earth, was used cutting down the old growth, then farming it, which turned out not too successful – this is mostly barren clay and rocks around here. Afterwards, sheep farming, and then, nearly a century of neglect again so that trees could cover the land. Not like old growths 0 no, that we will never get back again. But still beautiful. Now, a few summer cabins are tucked into the woods, barely visible during day time because Maine has an ordnance in place that constructions need to be away 100 feet (30,48m) the upper shore line. But at night you see lights shimmer and sparkle through the forests – more than one would guess during the day.

I have read the German mystery, and found it satisfyingly light fare. Now I am reading Hans Fallada’s Alone in Berlin – and that is not light fare. But a marvelous book. That there was one German who could write about what happened to the population during Nazi time – I feel it is kind of a redemption.

My musings from Maine can’t end without describing a few of the tiny medical emergencies we had so far – and hopefully, we will not experience worse: Cat allergy: Andrographis paniculata; leave out all dairy to reduce inflammation and mucus production. A cut foot from a stone: Saltwater; tea tree oil. A sty (hordeolum): lukewarm teabag on eye; Echinacea, goldenseal and GSE (grapefruit seed extract) from the inside. An underarm rash (likely fungal): tea tree oil. – Everybody is doing remarkably fine.

Introduction:
[These are my notes – they are a refresher for the workshop attendants. But might also be useful to look something up when one needs it]

What happens through the winter: A depletion of reserves leads to increased susceptibility to infections. Decreased movement. Holiday foods – not healthy.

It takes two to get sick: A virus and a run-down immune system.

“Huge outbreak” of Swine flu in Great Britain: 24 deaths as of 1/29/11 – compared to the more than 35,000 deaths annually from “normal” flu in the US (which is nothing).

Cold and flu:
• Prepare: Get your immune system into perfect shape
• Protect: Shield yourself during an actual outbreak
People are less prone to respiratory infections if they have more contact with people, and hug more. Exception: Little kids – they schlep everything home. But in the long run, it might be beneficial. But in a flu outbreak: Stay away from people as much as you can. Wash hands often. Don’t be sneezed at. Avoid public transportation. Don’t hug and kiss. Avoid touching public doorknobs, telephones and similar surfaces with unprotected hands.

• Movement
The only thing for increasing qi and against cold is movement. But excess is as detrimental as laziness.
• Yoga, of course
• Daily outside walk – importance to get sun light and vitamin D
• Hiking, bicycling, games on weekends
• Snow shoveling:
Break down the task
Take small loads
No abrupt movements
Cherish twisting movements – but they also can be the source of strained muscles.
• Yoga ball (back)
• Small heavy ball (arms)
• Getting to the ground once a day (strength)
• Knee bends (strength)
• Hanging out (back)
• Standing on one leg (pelvic health)

• Food
• Fresh foods – home cooking: Vegetables, legumes, small portions of fish and meat (lamb!), fresh (or dried) herbs. No microwaving.
• Vegetarian/vegan against omnivore
• No dairy, sugars, white starches, sweeteners, artificial molecules: colorings, flavorings, enhancers, preservatives, etc
• Predominantly cooked – more so in the winter
• Fats: More is better – but they have to be vegetal: Olive oil, coconut oil, ??butter
• Organic: Good but fresh is more important
• If you have a cold/flu: You should always force hot liquids on a sick person but never food: Respect if there is no appetite, and respect if there is. Just nothing sugary. Fruit – fresh or as compotes – is probably the best. Or hot elderberry/blueberry soup (also good for acute stomach flu and urinary tract infections). Blueberries are much cheaper.

• Herbs
Herbs have been with us throughout evolution. Their mechanism fit into our ancient physiology like a key into a lock. We always ate herbs from the wild, and now that we have for the most part stopped, a little bitter green, cabbages or strong root might just be what your body needs to find back to balance.

Bacteria and viruses do not easily develop resistance against herbs. That is because a single herb contains hundreds or more of compounds, and many of these compounds work on killing off the germs - not only one. Since point mutations in bacteria can only develop one by one, it is less likely that an herb becomes ineffective against a pathogen because there will be other compounds to destroy the microbes first.

Synergy is the reason why I recommend whole herbs (tinctures or so-called phyto-caps with extracts of the whole plant) instead of “taking the best” from several pants, and making a patented medicine. Patent medicines exist because natural plants can’t be patented, and so firms try to make money by taking single compounds from a plant, combining it with other single compound, thus producing a “new” medicine that allegedly is better. The truth is, mostly it is not better because you cannot improve on nature

• Prepare: During cold and flu season, take tonic herbs like stinging nettle, astragalus, ashwaganda, or eleuthero (formerly named Siberian ginseng) to strengthen your immune system. Rotate them every three weeks.
• Spice up your food with herbs and spices because they kill microbes (the plants developed the strong-tasting compounds to protect themselves against the invasion of bacteria, viruses and fungi). Pregnant and breast-feeding women as well as little children should go easy on herbs and spices.
• When you go out, use an Echinacea spray every hour or two to protect your throat, the entry port of viruses. Again, GAIA makes a good one
• Mushrooms boost your the immune system – eat them often, or take a mushroom preparation; Whole Body Defense by Gaia is one.

• Protect: (if you had exposure, or suspect you had): If there is a bad flu epidemic: Chew a raw garlic clove, several times a day
• Take a lick of unheated honey (Manuka is the best) every hour or so – kills germs (not for children under three years – danger of botulism!)
• Rinse your nose prophylacticly with saltwater to kill germs (carefully rinse mouth afterward with clear water if you have blood pressure issues)
• Prophylactic and curing: Hot elderberry tea, hot blueberry soup
• Importance to wash hands and cover sneezes and coughs, preferably with a sleeve cough – not your hands
• Take as supplements: A probiotic (I like PrimalDefense), fish oil and cod liver oil

• Pull through: In cold and flu: Immediately when you come down with the flu: REST!
• Fever over 104 F in children, and a cold lingering more than a week should be seen by a physician. Also if you have unusual symptoms like stiff neck, enormous headaches, breathing difficulties, and so on.
• Against cold: Easiest, most expensive: GAIA Quick Defense. It contains Anagraphis paniculata – best cold medication I know (hard to find as a single extract)
• Against cold and flu: Echinacea, olive leaf, osha, pau d’arco, licorice – all as extracts in a bottle. Mix together in hot water like a tea.
• Other herbs that have been found beneficial in colds and flu: bayberry, boneset (Eupatorium perfoliatum), calendula, goldenseal, Oregon grape, juniper berry (chew a dried berry every few hours, not more than five a day, and not for longer than a week), umckaloaba (Pelargonium sidoides)
• A ready-made anti-viral concoction is the Chinese Yin Qiao Jie Du Pian, also called Honeysuckle-Forsythia Detoxifier. It might be a good idea to have some of those pills at hand when you get sick (get them from a reputable source).
• Lingering (more than a week) colds and bacterial infections: GSE extract (but consult your physician to make sure it is not pneumonia)
• Sore throat: Swish a few drops of oregano extract (nips whatever is coming in the bud, if you take it early enough) in your mouth and swallow, or zinc lozenges (science is a bit wobbly on zinc)
• Sore throat: Gargle with saltwater or warm water with one drop of sage, myrrh, oreganol, neem or tea tree oil. Not for children under six.
• Stuffed nose/Sinusitis: Rinsing nose with saltwater – frequently, if necessary
• Stuffed nose/Sinusitis: Eat mustard, horseradish.
• Stuffed nose/Sinusitis: Steam inhalation helps with a running or stuffed nose. You can add chamomile, thyme, eucalyptus or a pea-sized piece of Vick’s. You can also use Vick’s on older children (check the label).
• Cough: Gan Mao Dan Chinese pills (20 per day in divided doses), or make a tea of peppermint, honeysuckle, ginger, cloves and/or horehound, slippery elm, violets, fennel, anis, marshmallow root (the real one!), Iceland moss (Cetraria islandica), ribwort plantain
• Fever is mostly good – it kills the germs. Therefore, no aspirin or Tylenol. In children, do cold wraps or dunk babies in tepid water
• If you get the flu, start Ginkgo biloba will start repair damaged cells
• Also: No decongestants as they tend to dry out mucosa and increase stuffiness in the long run
• Increase hot fluids: hot water, hot broth (chicken soup has been researched – and it really works!), hot herbal teas (linden flowers, elderberry flowers, honeysuckle, fennel or thyme, sage, green or black tea, thyme, ginger, rose hips, mullein, lemon balm, peppermint - in all combinations) are good – but so are many other. Hot lemonade is also beneficial if made with fresh lemons and preferably with unheated honey
• If you use vitamin C, use a low-dose kind – and only in the first few days of a cold
• Don’t use all the herbs at once – get familiar with a few, one after the other.
• There is no such thing as” That herb does not work in me!” There is only “That herb does not work against this or that germ”

• Order
• Cherish the season – don’t fight it
• Preventing: GET ENOUGH SLEEP! In a flu outbreak, be in bed by nine pm every night – no TV, no computer. The body repairs itself during about two hours the time around midnight — if you are asleep then, that is.
• During a bad flu season, consider wearing a mask over nose and mouth

The causes of death in influenza are of two different origins: Older people die of the virus and its consequences like pneumonia; their weakened immune system cannot fight the virus anymore. Young people succumb to an overreaction of their still exuberant immune system – they produce what we call a cytokine storm, and usually die within the first two days. Consequently, both groups should be treated differently. In young people (older teenagers and young adults) I therefore would add an herbal anti-inflammatory, namely Zyflamend as soon as the young person gets sick.